Narsimha R Muddasani, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036089128 Issued in IL

Practice address

100 N 8TH St
East Saint Louis, IL 62201-2989

Phone

(618) 271-0130

Fax

(618) 271-6325

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Healthcare Foundation Inc 117 clinicians

Touchette Regional Hospital Inc 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nmuddasa@yourcarecommunity.org
• Direct secure messaging: narsimha.muddasani.1@9559.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Touchette Regional Hospital Inc

  • Emergency Medicine Physician
  • Cahokia Heights, IL
  • NPI 1922019926

  IL

  Medicare reassignment Care Compare group NPD
• Southern Illinois Healthcare Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Centreville, IL
  • NPI 1609813500

  IL

  Medicare reassignment NPD
• Touchette Regional Hospital Inc

  • Psychiatric Hospital Unit
  • Cahokia Heights, IL
  • NPI 1750992459
  Care Compare group
• Touchette Regional Hospital, Inc.

  • General Acute Care Hospital
  • Cahokia Heights, IL
  • NPI 1427111046
  Care Compare group
• Southern Illinois Healthcare Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Waterloo, IL
  • NPI 1821813247
  NPD
• Southern Illinois Healthcare Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sauget, IL
  • NPI 1083162432
  NPD
• Betty Jean Kerr People'S Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1194797787
  NPD (past)
• Betty Jean Kerr People'S Health Centers

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1215692348
  NPD (past)
• Betty Jean Kerr People'S Health Centers

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1679604318
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Touchette Regional Hospital Inc

  • Psychiatric Hospital Unit
  • Cahokia Heights, IL
  • NPI 1750992459

  Hospital

  Care Compare affiliation
• Touchette Regional Hospital Inc

  • Emergency Medicine Physician
  • Cahokia Heights, IL
  • NPI 1922019926

  Hospital

  Care Compare affiliation
• Touchette Regional Hospital, Inc.

  • General Acute Care Hospital
  • Cahokia Heights, IL
  • NPI 1427111046

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1548366263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVE",
            "address_2": "SUITE 406",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404744",
            "telephone_number": "618-877-1008",
            "fax_number": "618-877-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 8TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012989",
            "telephone_number": "618-271-0130",
            "fax_number": "618-271-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDDASANI",
        "first_name": "NARSIMHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "105499",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036089128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207790411",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "narsimha.muddasani.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "100 N 8th St",
            "city": "East Saint Louis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622012989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Mikkelson, MD
• Latasha Miller
• Elon Hymees Mitchell
• Kimberly J Mitchell
• Kischa Moton
• Chennaiah Nadindla, MD
• Margaret M Nahass, PA-C, RN
• Nathan Health Care Center, L.L.C.
• Mary Beth E Neufeld-Wall, MSW, LCSW
• Charles V Nye Jr., M.D.

• All providers in East Saint Louis, IL
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.